Provider Demographics
NPI:1508563966
Name:SCHULTZ, KATHRYN RANKIN (RD/RDN)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:RANKIN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:RD/RDN
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:JEANNE
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:7813 AMETHYST LOOP NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-5077
Mailing Address - Country:US
Mailing Address - Phone:480-254-6666
Mailing Address - Fax:
Practice Address - Street 1:21309 44TH AVE W
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-3507
Practice Address - Country:US
Practice Address - Phone:425-744-1095
Practice Address - Fax:425-775-1144
Is Sole Proprietor?:No
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered